HB 1274 prohibits the delivery or distribution of abortion-inducing medicine, drugs, or substances into South Dakota for purposes of an illegal abortion, with exceptions for self-administration by a pregnant person, life-saving medical procedures, or miscarriage management. It establishes a Class 6 felony for violating this prohibition, imposes civil penalties up to $10,000 per dose, and allows civil lawsuits for wrongful death of an unborn child by specific parties (e.g., parents, the pregnant person, or their estate). The bill directly affects medical providers, pharmacies, and anyone transporting such substances into the state, while exempting individuals acting in self-defense or under medical necessity. The attorney general may seek injunctions to stop violations and collect civil penalties for deposit into a state fund.
HB 1257 redefines "abortion" in South Dakota law to include any action intending to terminate a pregnancy with knowledge it will likely cause the unborn child's death, while excluding specific medical treatments (like miscarriage care, ectopic pregnancy treatment, or procedures to save the unborn child's life). It requires physicians to determine that a pregnancy poses a "reasonably foreseeable risk of death" to the mother before permitting an abortion, mandates attempts to preserve both lives when possible, and mandates hospital-based reporting to the Department of Health. The bill directly affects pregnant individuals, physicians, and hospitals by setting strict medical criteria for legal abortions and prohibiting abortions based solely on psychological conditions or self-harm fears. It does not criminalize all abortions but creates a narrow exception for life-threatening conditions, with violations classified as Class 6 felonies.
HB 1138 requires non-medical home care agencies in South Dakota to obtain a license from the Department of Health before operating. Agencies must submit applications, pay a fee (capped at $100), and verify that home care aides complete 10 hours of mandatory training (covering dementia care, safety, nutrition, and abuse reporting) and pass criminal background checks. The bill directly affects home care agencies, their employees (home care aides), and clients receiving services like bathing assistance, meal prep, or companionship in their homes. Operating without a license is a Class 1 misdemeanor, and agencies must maintain client records and allow department inspections.
This bill (SB 145) amends South Dakota law to clarify and expand municipalities' authority to take actions promoting health or suppressing disease. It removes specific restrictions that previously limited municipal power, such as prohibitions against actions that might interfere with religious freedom, free speech, assembly, or Second Amendment rights. Municipalities can now enact health-related ordinances or resolutions without needing to avoid these specific constitutional considerations. The change directly affects all South Dakota cities and towns when creating local health or disease prevention policies.
SB 233 prohibits health insurance carriers from charging administrative fees or penalties to healthcare providers for care involving out-of-network providers. This directly affects health care providers who treat patients using out-of-network services and health carriers that typically impose such fees. The bill’s key provision bans carriers from assessing these fees for any care provided by a provider not contracted with the carrier (defined as "out-of-network"). It creates a clear policy change requiring carriers to cover such care without additional administrative costs to providers.
SB 181 would end South Dakota's medical cannabis program if the federal government reclassifies cannabis as a Schedule III drug under federal law. It specifically repeals the state's medical cannabis chapter (Chapter 34-20G) upon confirmation by the attorney general that the U.S. Food and Drug Administration has made this federal change. The law requires the Department of Health to notify all current medical cannabis cardholders and licensed businesses about the repeal and its effective date. This change only affects South Dakota's medical cannabis program and would not impact recreational cannabis laws or other state regulations.
